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97-078 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN. COUNTY, NEW YORK Date June . 16 19 97_ �A' This is to certify that work requested to be done as shown by Permit No. 97078 has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a LACKFYf . MASON ROAD Location Owner CHECKLA„ BRTUCE (Si JOY .TAX HAP NO. 13, ? By Order Town Board WN OF QUEEN . Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 95000 TOWN OF QUEENSBURY No. 97078 TAX MAP NO. 13. -2-42 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to CHECKLA, BRUCE & JOY OWNER of property located at LACKEY/ ,MASON ROAD Street,Road or Ave. in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWELT,TN( at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 60 SMITH HILL RD. AIRMONT,NY 10952 2. CONTRACTOR or BUILDERS Name DAVIS , DENNIS 3. CONTRACTOR or BUILDERS Address 7 ALGONQUIN DRIVE QUEENSBURY, NY 12804 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING ( I Wood Frame ( 1 Masonry ( 1 Steel ( 1 7. PLANS and Specifications 1872 r'Q FT SINGLE FAMILY DWELLING A PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SINGLE FAMILY DWELLING 210 March 20 19 99 $ PERMIT FEE PAID —THIS PERMIT EXPIRES (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 20 Day of March 19 97 SIGNED BY _ Cam=\A/� ., for the Town of Queensbury Building a Zoning nspector De j?ar tment of Coinniunit y Development ;`_1' Reviewed By: Building (ccCode Enforcement :''.;� : , .• ilding Ins ector Town of Queensbur•y .:F .� y, Permit No. . —' 742 Bay Roadi. 00 Queensbury,. New York 12804 a , - .. Fee Paid $ p-f 0 pis, 761-8256 ll . . Bud ding Permit it Application A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants ' spaces on this application MUST be completed and the . signature of the applicant MUST appear on the application form. Applicant:(DQ \\S ` U(a\) \S Owner: Yocc CCi C irk aQe-fts b VI \ \k- \2A � •`0qS� Phone # ( i(6) �" - Phone # ( II`i )3 • _� • ' . ' . Property Location: ---aC \C. ` u 1,^Ck f t\0 ( ) `� /�2 C_1 �Vc Tax Map Number • / C / Subdivision Name: \ " Section Block Lot • N RE OF PROPOSED WORK: T : ESTIMATED MARKET VALUE OF THENew Building: CONSTRUCTION: $ ej , C� (� residence / commercial , t Addition to Building: • ..•..,._.,. residence / commercial OCCUPANCY INFORMATION: . Alteration to Building: Primary Building - • residence / commercial X Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family D oll -ng:•-.: -... . Office -- . :#,, :: ; ,.' r_-." I Other Work (describe below) Mercantile • Manufacturi g MAR 141997 • ✓ Other GROSS AREA OF PROPOSED STRUCTUR • �0 TOY,Th i ' :. •. :•!B� If ADDITION, • wl'rat`-L-`w% _ au-g=e' - ir 1st F1oor.1 �}� . ~ sq• ft f of new. addition be? : 2nd .Floor. A s ft, 0 Other Floors sq. ft . • • (not unfinished cellar or basement) A �SSORY BUILDINGS : �7 ached Garage 1 car TOTAL FLOOR AREA: I?fig- SQ. FT. Atta d Gara , 2. car Private age Building SIZE OF NEW . STRUCTURE : Comme '.al S age Building uQ FEET X 3� 0 r FEET Foundation Type : �`fo ,�ill _ IN.A _ $'i A ,/ Will any second-hand or ungraded Number of Stories : • . lumber be used? If so, for what? (habitable space only) c Height (grade to ridge) : 24i= feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woods t-ove (circle a ch lies) }-f-d�pt(l�; tob e installed: ` Electric_ / GaGas / Wood C'\ , Q. \� c \ C\b--k -ko ( CCTc 2 Lfl i�'orced Hot Air,J/ Bas board / Other Person respo Bible for suDervis.i.on of work as regards to building codes is : 'Ut t\c\.� ,OPA\S Name • /lddresss Phone I h Builder "‘)C(`R�\� �\�\S ���`kAq. Plumber: c\ . Mason: . . ` 19. W -4 f34 Electrician: \C\(1 ' -,'VO(Li; Sri-("' CV, \)3 -1(9\- 0.5S2 DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed suave or; drawn to se• , wing actual location of project on premises. , Signature: (owner, owner's agent, architects contractor) � . " ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY z=- ' • 9 000 HEATING DEGREE DAYS ' Compliance Methods : PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings ( 3 stories or less ) PART 4* - Design -by Component Performance -" Commercial Buildings-Hi Rise Residential *Requires submission of worksheets . Thcw\\ PICAS APPLICANT' S NAME : PROPERTY LOCATION: • rI)11.-)06 ‘'\-NCT CT-D 9P0q\- PaA PART 5 METHOD OF COMPLI VACEP ` •RA 0-'sQ ANC `" 1 . Gross Floor Area - n A(2-- square feet 2 . Type of Heat - Electric Oil A Gas Other 3 . Is building mechanically cooled? Yes )( No 4 . Percentage of area of windows and doors Over 17% )(' Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof IR b. Exterior walls R c . Glazed areas R d. Exterior doors R e . Floors over unheated spaces R f . Edge of slab on grade ( heated building) R g. Basement/cellar walls (above grade) R h . Basement/cellar walls (below grade) R i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot •water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED aTQcant' sf Ere .� Phone Z�� INSPECTOR' S REMARKS : .afvxt of Outenthurg pisipuraxg giejaxxtme _ rf� rff/ „ 742 BayRoad ' • R' e 6- 8 �' ���T3't>y'# ,°) wYork12804 PAUL H. NA w , �h;4 N, s I k�F 11. a 'tt �t_/4r�1ITA Superintend:.,r i.yto 77 \�` \` `� }� '` " �j..,y s ..fr i s�' �� dent Highways DRIVEWAY PERMIT DATE: 2-2 APPLICANT NAME: r ac\1(w« TELEPHONE NO.: o2- \ A O C1av dok. , ADDRESS TO BE INSPECTED: C Ccc V co RETURN ADDRESS: n- BDtT1V).' Cc.. (1Sbv- C)-‘. (2b 0 4 Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways, Town of Queensbury, has reviewed the application of the above named resident to connect a driveway to the Town road. The following action has been taken: STEP 1: ( ) Preliminary Approval NEED: ( ) Slight Swail ( ) Level With The Road ( ) Deep Swail Size Pipe to be used (if necessary) ( ) 12" ( ) 15" ( ) 18" ( ) 24" ( ) 36" • • Preliminary inspection by DATE Approval by Highway Supt. Depty. Supt. After receiving the Preliminary Approval , submit the permit to the Town of Queensbury, Highway Department upon completion for a Final Approval . STEP 2: ( ) Final Approval ( ) Rejected • DATE: PAUL H. NAYLOR Superintendent of Highways Town of Queensbury TOWN OF Q'UEENSBURY 742 Bay Rd.,-Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS _` �. � Date ,19 Permit No. t APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance and/or chimney. Applicant \ 1vcr;\m \,l t APPLIANCE (check appropriate boxes) ' Address —1 No '3c\,LTA\. )E c-,, Tr. ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas }, �^ + r.� , 0 FIREPLACE INSERT ( , �`ji m\ `AN\ INA\\ Zip �,�,c0 A I'FI REPLACE, FACTORY-BUILT: S o'Wood ❑ Gas Phone 161 ,�= \ �`-( _ 0 FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner \.�ry \ )( _,,, ( `VNICV,ACk 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil Address ( t ) ,TM k .4'1'c'l \.`\' \\ W Y _\ IF NON-MASONRY �4PPLIANCE: \, (\\N. ` Manufacturer: 1�I It A' ' c, -- k . °1 n _);`, 's, I f, t�"s1 -\.. . Zip L r' '�; . Model: ( :,f 0 -) jv � Phone (1 , ', t` ( `'k` .?, .. CHIMNEY (check appropriate boxes) *EXACT-ADDRESS of proposed construction � {�1 1 0 MASONRY: 0 Block 0 Brick 0 Stone a, C f 4`�--�' `_f "�,1,)(fir f;t,-6 FLUE: ❑ Tile "' Steel ii Size: inches CONSTRUCTION I INSTALLATION MUST 0 FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS 0 Double Wall4H, o:Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated ❑ Direct Venting 0 Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number' Title i 0 -A 173 3389 (190)Public Safety C°-�5 A 233 2655 (230) Minor Sales Fee Collected From or Refunded to: NV 0 \1,a' . \ C.-.,-'.' `f\I 1 . Address: ,<...--*; iti,'? 1 t": t Dated: L . 91- c1 " Town Clerk or Deputy:( `---''' �_ (-----0,_, \ \ —yam / White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. ._" A • A%a..AJ.ti)..k.,,t.,1,,,oytt,.I,Cf.p.t.ep..._,,INJ.....,,,p...0�. ..,pfpfp_Al.),. J...I.,,,.A14. .).•p.,.,4l' ti7y,..), !,A,.>,.l•J.,1,0,30..0 ,,,,,),tos..1:_4,a.,,,,,7.El'J.Ef t.,..i...:4,eeE.\.k.,%C•p,...C .ge,&.1...-l'J..A,,..,C THE NEW YORK BOARD OF FIRE UNDERWRITERS [.PAIrt', I. ,T k4')i 11Li9 BUREAU OF ELECTRICITY r k I 111 WASHINGTON AVE., SUIT 704, ALBANY, NY 12210 'f4}t5I'' 4r'',i.'. l Date Application .on-file <)•.i 1.19 I.97,/`{•' A l .i0.it0-i L THIS CERTIFIES THAT PEF5r • only the electrical equipment as described below and introduced by •ap can med on the above application number in the premises of y ,r 1 FIB CCE i..t5.4�lt.P'_A.Cf , 'L.It`IC1-11,1 7 IA), ,, c.,9I.5g.3 .31�u \T • /.`l. : Y ., IT in the following location; El Basement Fil 1st Fl. Ell 2nd Fl. Section Block Lot ,4 was examined on ,JUF* 0( -)997 and found to be in compliance with the National Electrical Code. ,} • FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 'Y ,. T, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT- TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Ir •: •r { AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. MAP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS rY ; DI u: } f 1, `; SERVICE DISCONNECT NO.OF S E R V I C E ,r •, AMT. AMP. TYPE METER 10 7W 1;B'3W 3 B'3W 3,Br IW NO.OPER�COND. OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS Of NEUTRAL '� ,i , 41: OTHER APPARATUS: 'I; r it .,,,I' ,i,._ 1_, r-- 1' p -<' 'Y -c LI/(I;'cl I,i,I I'fItC 1'l..tli= ,..ma's '" ! , Y ': y`S�* � .� GENERAL MANAGER 'a '.1ra13 S.iT€, t rV.' T?Tb. -•moo:.: 3c a ;r ;, C,�}l,lst �F3l)I(�'., IA'i . .1_'�sl.:'. r'[i' r, _ y� ., '.39 r 3 r. ,1 -. _• _ ra5Per I. This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ;T 'f'irk"r.{7•?'i:('riiri(:rr('4s"iy?9a(/i1'i•Y'irf`r•(7•(•v.''/m('mi'Y•C'iio•s'Yif 1iY;4Y'iii...'i.G7ifY•f•YiY'7iC5.YY•(7ii'.Yaf.?..Y:4(Y YYsY.Y6Y.Y•Y Ye-ilii'Y•lY•Y.YiY'(i\',Y•Y,Y•FYv,Y•YY•YY•Y'iiiY'%eY..Y•YYeY. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 6", -TOWN OF QUEENSBURY FIRE MARSHAL. . QUEENSBURY, NY 12804 -(51 8) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION EC VED-23/ 97 NAME Cl'` Q LOCATION `t f4 /Y l `l po.) DATE PERMIT# �(,1--9 7 7- `R APPROVED . N/A YES 'NO. EXITS AISLE WIDTHS EXIT SIGNS - EMERGENCY LIGHTI , G FIRE EXTINGUISHERS AUTO. EXTINGUISHING S;STEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO.SPRINKLERS .. CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY FIREPLACE- FACTORY BUILT REMARKS: ❑ OK TO THIS DATE • • INSPSLIP.PUB INSPEC R. ' TOWN OF QUEENSBURY 0 �tgivABUILDING & CODE ENFORCEMENT J� 742 BAY ROAD12 QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: FINAI, INSPECTION REPORT - RESIDENTIAL DATE INSPEC ION REQ EST RECEIVED: (. NAME kx 'r LOCATION C DATE r 47---1 (0 -76i -7 PERMIT I 9.7 7 TYPE OF STRUCTURE FOOTINGS FOUNDATION _ BACKFILL FRAMING _ ROUGH PLUMBING _ SEPTIC INSULATION • FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT r - PLUMBING VENT l ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS / RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE P AN/VARIANCE REO. NAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C • // JO .—ic,"), o0 low,- , TOWN OF QUEENSBURY ,�� -.� BUILDING & CODE ENFORCEMENT 742 BAY ROAD . QUEENSBURY NY 12804 _ (518) 761-8256 /9---6 ARRIVE: / DEPART: INSP:4 FINAL INSPECTION REPORT - REe7J/ S!_ -� DENTIALJ DATE INSPECTION, EQUEST REC•IVED: / 1 / ekNAME le-)i v, ) LOCATION . -�_r3 / 7 '/ 2- RMIT 1 q 7 O! 6 DATE � / TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC INSULATION FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE - N/A YE /NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT 1 in . ‘i ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILIN S fill RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED i / STAIR CLEARANCE/RAILINGS SMOKE DETECTORS • BATHROOM FANS PLUMBING FIXTURES t /;./ FOUNDATION INSULATION GARAGE FIRE PROOFING f POOR C�LLOS R � �l�j J c. FINAL EUE A f1iS SITE PLAN/VARIANCE REO. FINAL SURVEY PLOT PLAN OK TO ISSU Cl OR C/C w/ y&G-0 �l R V"`pOg S t-lis-L - Q.<_ / r/ c (518) 761-8256 TOWN OF QUEENSBURY BUILDING G CODE ENFORCEMENT 742-BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR J. DEPART- INT REQUEST FOR INSrP T 'ON R CIVED: NAME (k-.e Gf</4 LOCATION 67CA 121 DATE COP I PERMIT A 97— 2J TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM _ REINFORCEMENT IN PLACE THE CONTRACTOR IS REzPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FO .!H $ G Jj1E PLACE- MENT OF THE CONCRET.. MATERIALS FOR THIS '.URPOSE ON SITE_ FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING _ BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE _ ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- _ FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- • eKyie .0 Co/Ue- '/< 6.7 (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 1' 742 BAY RD., QUEENSBURY NY 12804 '�1p;x, a;• INSPECTOR'S REPORT: ARR# DEPART REQUEST FOR INSPEC IONRECEIVED: NAME Ue /' LOCATION 6-C &r/lle -�DATE (j J /PERMIT TYPE OF STRUCTURE: RECHECK APPROVED �-� N/A YES _ NO FOOTINGS/PIERS _ MONOLITHIC POUR _-RM REINFORC0 ENT IN 'LACE ._ THE CONTRAC c S RESPONSIBLE FOR PROVIDING PRITE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE ••NCRETE. „ MATERIALS FOR +HIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE _. ROUGH PLUMBING _ PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING _ JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER _ HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR/ ((DEPART INN REQUEST FOR INSPECTIOON_RECEIVED: NAME ae,�y 4 ` LOCATION /' �t�i ei? DATE PERMIT A TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE _ THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE O' FROM FREEZING FOR 48 HOURS FOL, OHI"G THE PLACE- MENT OF THE"CQNC`ET` e MATERIALS FOR THI'• PURPOSE ON SITE FOUNDATION/WALLPO REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING _ JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER _ HEATING ROUGH-IN INSULATION: 4 FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R • - FM) (518) 761-8256 TOWN OF QUEENSBURY h ' BUILDING & CODE ENFORCEMENT ' � 74: BAY RD., ( QUEENSBURY NY 12804 �m e.;m � �,�j� J INSPECTOR' REPORT: ARR/()6'v DEPARP ) INT V� REQUEST F•• . N1PECTION I IVED: NAME I \ �(✓ LOCATIOON /0-eiri -7/ DATE J �' e sr IT ��O ! (�TYPE OF STRUCTURE: I RECHECK APPROVED /A YES NO FOOTINGS/PIERS }MONOLITHIC POU• FORM REINFORCEMENT ,N PLACE THE CONTRACTOR IS RESPONSIBLE •R PROVIDING PROTE TION FROM FREEING FOR 48 HOURS FOE.. •WING THE P CE- MENT OF THE CONC- 'TE. MATERIALS FOR THI PURPOSE c SITE FOUNDATION/WALLPOU' REINFORCEMENT IN PL''CE FOUNDATION/DAMPPROO NG BACKFILL APPROVAL PLUMBING VENT/VENTS I PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS HEADER. BRACING/B:IDGING JOIST HAN ERS JACK POS S/MAIN BE.' AIR INFILTRATIO. BARRIER HEATING ROUGH- . (O INSULATION: ( PC / 0 FOUNDATIO WALLS INTERIOR R _ - FOUNDATIO,' WALLS EXTERIOR R- FLOORS R- WALLS R- - CEILING R- DUCT WO•= OR PIPING IN UNHEATE' SPACES R- • deS. Gv44/05 TOWN OF QUEENSBURY ' FIRE MARSHAL • QUEENSBURY, NY 12804 (518) 761-8205 .. FIR MARSHAL INSPECTION REP•RT REQUEST FOR INSPECTION RECEIVED j-0' NAME ei ,C„, �() �� .. 1 rn LOCATION C/ ( QQ DATE PERMIT • I) - g APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTI G FIRE EXTINGUISHERS AUTO. EXTINGUISHING\YST'M HOOD INSTALLATION AUTO. SPRINKLER SYSTE ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SP.'INKLER' CLEARANCE TO H'ATING U TS REQUIRED SIGNAGE CHIMNEY WOODSTOVE • FIREPLACE -MAS(INRY FIREPLACE- FAC ORY BUILT REMARKS: IS OK T$ THIS DATE 4.4 INSPSLIP.PUB INSPECTO (A)e (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 a°g. f / INSPECTOR'S REPORT: AR DEPARTL °�', I� REQUEST FO INSPECTION•RECEEIIVED: f,S NAME P�� K-U c LOCATION Mc}„a�Qiv /, DATE 19— � /� - PERMIT A 9 - 0 /7�)Q TYPE OF STRUCTURE: S� RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLA E • THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL - PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS • JACK POSTS/MAIN BEAM • AIR INFILTRATION BARRIER HEATING ROUGH- N SULATION: QCI�r//Q� FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- _ FLOORS R- - WALLS R-' CEILING - Gr -1 R- e/ DUCT WORK OR P PING IN UNHEATED SPACES R- • • ps= f4 41:5(_415060 e 4)/tip s . Old la ( / (518) 761-8256 TOWN OF QUEENSBURY ' BUILDING & CODE ENFORCEMENT 742 BAY RD. , QUEENSBURY NY 12804 ' °k•- .t• INSPECTOR'S REPORT: ARR DEPART'o5 INT`►0 ' REQUEST FO � GINSPECTION ��RECEIVED: J NAME F'1 cl�c./T LOCATION 14-Gt(7 ( AO DATE ___f_/ PERMIT A - q7 078 TYPE OF STRU URE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS _ MONOLITHIC POUR FORM r REINFORCEMENT IN PLACE JI THE CONTRACTOR IS RE OK IBLE FOR PROVIDING PROTE TIO FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR _ REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING _ BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE _. ROUGH PLUMBING _ LUMBING UNDER SLAB p FRAMING: "24AQ r2.-/Z - / JACK STUDS/HEADERS f! 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TOWN OF QUEENSBURY rt:. if ' BUILDING & CODE ENFORCEMENT A ,• 41 742 BAY RD., QUEENSBURY NY 12804 k �'`-' ,.,..' , ,fir INSPECTOR'S REPORT: ARR J, T' �-INT J� DEPAR �' REQUEST FOR INSPEJTION RECEIVED: /T//6 e T NAME /J � i te t A41?-41�- / -LOCAT ION/7/ 4 U e% "d 44 44- l(�l-`'' ' ATE /ii �j 7 PO MIT 0 q 7J 6) -IT �PE OF STRU TURE: ' ;;T-k---p RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS R1,•PONSIBLE FOR PROVIDING PROTE T •N FROM FREEZING FOR 48 HOURS F• •NINO THE PLACE- MENT OF THE-"CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR - REINFORCEMENT IN PLACE f________+_ FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE i . ROUGH PLUMBING PLUMBING UNDER SLAB _ ING• I _ JACK STUDS/HEADERS _ o/ BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- • bos-r44.,:-= jell D3P94) -Brz-►©6 I4'6 134-4'cWiAI6 C ALL h4,,, 4i+$ f a uE-q 6Vs I b Iu5LiL I „ M . • � (518) 761 8256 TOWN OF QUEENSBURY . YxY . . / BUILDING & CODE ENFORCEMENT %' _ . 742 BAY RD., QUEENSBURY NY 12804 '.-:, t ..,.- INSPECTOR'S REPORT: A v° DEPAR/P`/DINT vEC. REQUEST FOR INSPECTION RECEIVED: ,3 ir-c i 19 7 NAME C:/, -J}f `�G'�lG'`_ LOCATION 1.--Ae H ev- CY� DATE -1 J I -J r PERMIT A / _��*� 7� � TYPE OF TRUCTURE:C }.(t -U12601.-e G /LAI-.) ��, p-c,J RECHEC a 7teip,a-r ��sI , APPROVED l/ N/A YES NO i FOOTINGS/PIERS MONOLITHIC POUR FORM . REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPON ISLE FOR PROVIDING PROTE TION FRO F EEZING FOR 48 HOURS FOLLOWING T PLACE- MENT OF THE CONCRETE. z MATERIALS FOR THIS PURP E ON SITE FOUNDATION/WALLPOUR _ REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE R UGH PLUMBING LUMBING UNDERSLAB FRAMING• TT? g(( L /I JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R • - FLOORS R- - WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R • - (518) 761-8256 TOWN OF QUEENSBURY .. 0*"i BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 :M',• ;. ,' "Y l/ INSPECTOR'S REPORT: ARR DEPART����IN'!� REQUEST FOR SPECTION RECEIVED: NAME Ip cf-1t}- LOCATION ^4L—ie /�O % � 7 DATE L '/ v/ PERMIT # //-y r0/ 59 TYPE OF STRUCTURE: RECHECK APPROVED N/A YES , NO FOOTINGS/PIERS MONOLITHIC POUR RM REINFORCEMEN IN LACE THE CONTRACTOR IS ESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE— MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING _ BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE _. ROUGH PLUMBING _ PLUMBING UNDER SLAB _ FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING _ _ JOIST HANGERS JACK POSTS/MAIN BEAM AI INFILTRATION BARRIER jI EATING ROUGHN NSULATION: A r 4"L— + FOUNDATION WALLS INTERIOR R— 'OUNDATIsN WALL EXTERIOR R— FLOORS 1'6 w._ _: a WALLS R— ' CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES R— . ._. __ . btd,„ . -Pvi 4,..,' �'�`Y (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT - 7J; 742 BAY RD., QUEENSBURY NY 12804 '''*�`°;:Fig=( ;.., INSPECTOR'S REPORT: ARR I2 1 EPART _,,/ IN:-'4✓y REQUEST FOR INSPECTION RECEIVED:' Si -ice 47 NAME �G1eC'K-/Q- / I uce-cP'� LOCAT ION c:2P- Gf ' PCB 4-e--e4 '/ DATE RMITo' V'TYPE OF SjLLjc47 RUCTE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS 4ONOLITHIC POUR FO REINFORCEMENT I PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE'. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR • REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING ACKF LL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB t FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING _ JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- _ DUCT WORK OR PIPING IN UNHEATED SPACES R- • (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 `_• INSPECTOR'S REPORT: ARR V - EPART\°bD7IN, REQUEST FOR INSPECTION RECEIVED: NAME C.IAF S'1 l� // LOCATION L V` O r"7 DATE ] 70 PERMIT Q G}6T- TYPE OF STRUCTURE: , AA) RECHECK APPROVED N/A YES NO ,FOOTINGS/PIER MONOLITHIC OUR F RM REINFORCE ENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE— MENT OF THE CONCRETE. _ MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH—IN INSULATION: FOUNDATION WALLS INTERIOR R— FOUNDATION WALLS EXTERIOR R— FLOORS WALLS R— CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES R— is Engineerina Evaluation for Residential Buildino Plans Submitted by: Dennis Davis (3 sheets) for : Bruce & Joy Chekla, Cleverdale, New York 1 . This is a 2-story residence with no attached garage. 2 . First and second floor joists 2"x10" , 16" O.C . are suitable support for total dead and live load of 50 PSF 1st . floor and 40 PSF 2nd . floor to satisfy New York State building code-requirements . 3 . Roof support is by pre-engineered trusses 24"on center with pitch of 5" in 12" . The truss manufacturer shall be responsible for the design and construction of all trusses to support a live load of 48 -_PSF normal to • the roof surface plus all dead loads of roofing, lumber, insulation and ceiling finish. The contractor shall be responsible • for the installation and bracing of all trusses per instructions from the truss manufacturer. 4. The inboard end of the flush triple 1 3/4"x9 1/2" Micro Lam header over the Living Room (span = 12ft . ) should be supported by a crawl space post directly beneath it . Use three (3) 2"x10" SPF members to form a continuous girder for the span between the 8" concrete frost walls in the crawl space. Place three (3) 4"x6" P.T. posts, spaced approx. at 6ft . centers , so that the center post is directly under the inboard end of the flush Micro Lam header . The 4"x6" posts should fully support the triple 2"x10" continuous girder with the 5 1/2" post dimension' across the 4 1/2" width of the girder. The 24"x24"x12" concrete pads are ample support for the posts if reinforced with 3 N . 4 rebars each way. 5. The front porch construction with double 2"x12" headers across each post supporting 2"x6" rafters (4" concrete floor over unexcavated area) is satisfactory. 6 . The screened-in rear porch supported on '4" concrete floor and • 8" frost walls is satisfactory. Sufficient wall support must be provided to support 2nd . floor and roof loads, above. 7 . The 8" concrete frost walls on 16"x8" concrete footings are satisfactory if footings are reinforced with 2 No.4 rebars continuous . 0 8 . Stairs, ceiling height and insulation are adequate . ! 1 Page 2, Chekla evaluation • 9 . All design and construction must conform to the latest editions of the New York State Uniform Fire Prevention and Building Code and . The National Electric Code and to any applicable local building codes and/or regulations. + r //7/(ddis„,z‘ij, tEoSSNIOriY6! (4i William E. Montgom ry Jr. E /4;2 . Dated : 'March 14, :'.1997 ;. ".l 37479 2� Work No 97-3-D lf.OFTN 4 ES 20, i2/GHT OF /YAY IRF : IRON ROD FOUND W/PLAJT/C CAP /NinvBED "YAN DUJEN 4tSTEYEJ" YDJ I hereby certify to: Bruce & Joy M. Checkla , and Webster Bank (609 West Johnson Avenue, Chesire, Connecticut 07410) That this map was made from an actual survey on the ground, according to record descriptions and shows the location of the boundaries and the improvements on the pre t t e are no encroachments of r than shown. Signed: Date: S Je . Martin P.L. 49300 Y; *IPF /N CONK. 1997 UPDATE BY J of frey G. Mart n. PLS LAND SURVEYOR - GEOLOGIST 22 HUDSON FALLS RD. SOUTH GLENS FALLS, N.Y.�12803 DEED REFERENCE <;Rustom A. Rastinehad to Bruce & Joy M-� Checkla D:10-18-85 R:10-2f-85 675-705 TAX MAP DATA Section 13 Block 2 Parcel 42